DERMATOLOGY ASSOCIATES OF CENTRAL NEW JERSEY, PA
NPI 1104950013
Dermatology - MOHS-Micrographic Surgery in Old Bridge, NJ

Active since March 15, 2007CLIA 31D0947927 · Certificate of Compliance
3548 ROUTE 9, SUITE 2, OLD BRIDGE, NJ 08857(732) 679-6300(732) 679-9566 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology Associates Of Central New Jersey, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY ASSOCIATES OF CENTRAL NEW JERSEY, PA (NPI 1104950013) is a healthcare organization registered as a mohs-micrographic surgery in Old Bridge, New Jersey and active in the NPI registry since March 2007. The organization holds a CLIA Certificate of Compliance certificate valid through August 6, 2027 and lists Grace Centurion, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104950013
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDERMATOLOGY ASSOCIATES OF CENTRAL NEW JERSEY, PA
Location Address3548 ROUTE 9, SUITE 2Old Bridge, NJ 08857-2765
Mailing Address3548 Route 9, Suite 2Old Bridge, NJ 08857-2765 · (732) 679-6300 · Fax (732) 679-9566
Fax(732) 679-9566
Organization SubpartNo
Authorized OfficialGrace CenturionOffice Manager · (732) 679-6738
Enumeration DateMarch 15, 2007
Last NPPES UpdateJanuary 22, 2016
NPI 1104950013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
3548 ROUTE 9, Old Bridge, NJ 08857

Other Identifiers 2

Medicare UPIN107968NJ
Medicare UPINC53742NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 31D0947927

Dermatology Associates Of Central Nj · Old Bridge, NJ
Active · expires Aug 6, 2027
CLIA Number31D0947927
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorSantiago Centurion
Laboratory Phone(732) 679-6300
Laboratory LocationDermatology Associates Of Central Nj3548 Route 9 South Suite #2, Old Bridge, NJ 08857
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3548 ROUTE 9, SUITE 2
OLD BRIDGE, NJ 08857
Clinic/Center (Radiology)
3548 ROUTE 9
OLD BRIDGE, NJ 08857
Physician Assistant
3548 ROUTE 9
OLD BRIDGE, NJ 08857
Physician Assistant
3548 ROUTE 9
OLD BRIDGE, NJ 08857
Physician Assistant (Medical)
3548 ROUTE 9, SUITE 2
OLD BRIDGE, NJ 08857
Dermatology
3548 ROUTE 9
OLD BRIDGE, NJ 08857
Clinic/Center (Radiology)
3548 ROUTE 9
OLD BRIDGE, NJ 08857
Radiology (Diagnostic Radiology)
3548 ROUTE 9
OLD BRIDGE, NJ 08857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Associates Of Central New Jersey, PA's NPI number?

The NPI number for Dermatology Associates Of Central New Jersey, PA is 1104950013. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Dermatology Associates Of Central New Jersey, PA located?

Dermatology Associates Of Central New Jersey, PA is located at 3548 Route 9 Suite 2, Old Bridge, NJ 08857. The listed phone number is (732) 679-6300.

What is Dermatology Associates Of Central New Jersey, PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Dermatology Associates Of Central New Jersey, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D0947927) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology Associates Of Central New Jersey, PA accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Dermatology Associates Of Central New Jersey, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology Associates Of Central New Jersey, PA was last updated on January 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.